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Malaga Crime Management Forum
After Hours Contact DetailsTo Business Owner/Manager Midland Police require assistance from you, by suppling the following details, Police can contact you promptly if there is a problem at your premises after hours. Please complete in full and mail, fax or e-mail this form to:- East Metropolitan I.M.U on Fax: 92500399 E-mail: East.Metro.AHC@police.wa.gov.au or mail: Midland Police Station 32 Spring Park Road MIDLAND 6056.
Business Details:-
Business Name Business Address Business Type
Phone Number Fax Number Email Address
Key holder Details:-
Call Out Sequence Surname Given Name Position Phone Number Mobile
1
2
3
4
5
Security Response Company:-
Name
Phone Number
Alarm Monitoring Company:-
Name
Phone Number
Dangerous Chemicals or Goods
Product Name
Toxicity level
Name of submitting person
Form updated on
PRIVACY AND CONFIDENTIALITY NOTICE